A 30-year-old Bangladeshi woman who is 22-weeks pregnant presents to your clinic. She is currently carrying a twin pregnancy without any complications and her pregnancy is progressing smoothly. She has no other medical issues. The patient is planning to travel to Bangladesh to visit her family and seeks advice on the matter.
What would be the most suitable recommendation to provide to the patient?
A 28-year-old woman who is 8 weeks pregnant presents with excessive sweating and tremors. Upon blood testing, the following results are obtained:
– TSH < 0.05 mu/l
– T4 188 nmol/l
What is the best course of action for management?
Which one of the following about managing thyroid issues during pregnancy is inaccurate?
A woman who is 12 weeks pregnant is seen in the antenatal clinic for her initial check-up. According to her electronic records, she is identified as a former smoker. In accordance with current NICE recommendations, what is the best approach to evaluate her smoking status?
During a routine postnatal check, a 27-year-old woman who is breastfeeding her baby and follows a vegan diet asks for advice on ensuring her milk provides the necessary nutrients for her child. As she has no underlying medical conditions, what daily supplement does the NHS recommend for women who follow a vegan diet while breastfeeding?
A 25-year-old woman in her second trimester of pregnancy complains of a malodorous vaginal discharge. Upon examination, it is determined that she has bacterial vaginosis. What is the best course of action for treatment?
A 27-year-old woman presents to the GP clinic with complaints of abdominal pain. She missed her last menstrual period and had unprotected sexual intercourse 8 weeks ago. She denies any vaginal discharge or bleeding and has no urinary symptoms.
During the examination, her abdomen is soft, but there is mild tenderness in the suprapubic region. Her heart rate is 72 beats per minute, blood pressure is 118/78 mmHg, and she has no fever. A pregnancy test is performed, and it comes back positive.
As per the current NICE CKS guidelines, what would be the most appropriate next step in management?
A 25-year-old woman comes to your clinic seeking emergency contraception. She had sexual intercourse 3 days ago and is currently not using any form of birth control. After discussing her options, you both agree that she will take EllaOne (Ulipristal Acetate) and start a progestin-only pill for ongoing contraception.
What guidance should you provide to this woman regarding the use of these contraceptives?
A 25-year-old woman comes to the clinic seeking emergency contraception. She had unprotected sex 24 hours ago but missed taking her desogestrel pill for the past 24 hours by mistake. She has never used emergency contraception before. Her last menstrual period was 5 days ago, and she has a regular 30-day cycle. She is in good health with no other medical conditions. She declines an intrauterine device and requests ulipristal acetate after discussing her options.
Her blood pressure measures 120/80 mmHg, and her body mass index is 23 kg/m2.
You prescribe ulipristal acetate for her. What advice would you give her regarding restarting her regular contraception?
A 20-year-old woman presents 72 hours after unprotected sexual intercourse (UPSI) and requests emergency contraception (EC). Her last menstrual period finished 3 days ago. She has no significant past medical history and takes no regular medications.
Her blood pressure is 118/72 mmHg and her BMI is 23 kg/m2.
After discussing her emergency contraception options she opts to have levonorgestrel (Plan B). She also now wants to take regular contraception in the form of a combined oral contraceptive pill (COCP) and would like to know when she can start taking it.
What is the most appropriate advice to give?